The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on photodynamic therapy for advanced bronchial carcinoma.


This procedure is used to treat inoperable non-small cell lung cancer.

Photodynamic therapy of bronchial carcinoma is a minimally invasive treatment, involving intravenous injection of a photosensitising agent, followed a few days later by photoradiation to the affected area through a bronchoscope. This is intended to reduce the bulk of the tumour, thereby reducing symptoms caused by bronchial obstruction.

Alternative treatments include debulking with biopsy forceps, radiotherapy and laser resection.

Coding recommendations

E48.7 Fibreoptic endoscopic photodynamic therapy of lesion of lower respiratory tract

Z24.5 Bronchus

In addition an ICD-10 code from category C34.- Malignant neoplasm of bronchus and lung or C78.0 Secondary malignant neoplasm of lung is assigned.